First night with new Bipap after sleep study and 37 AHI mostly CA

[PandaZA]

Just received my results for ASV titration. Even after giving the sleep tech my Oscar report with his comments to me 'everything helps', it looks like the recommended settings from sleep study are completely different to what we ended up with. I have yet to talk with doctor yet. See attached

           

[Sleeprider]

The recommended settings are even wider than the recommended default for auto ASV. Once you get the ASV, you should change the settings to EPAP min 5.0, EPAP max 15.0, PS min 3.0 PS max 15.0. Interesting they used a Respironics machine for titration. The Philips Respiraonics BiPAP Auto SV has never shown the effectiveness of the Resmed in ASV auto mode and I expect you will do much better with a Resmed setup as I outlined. Do not let these jokers try to foist a Philips machine on you! The Philips machines are all discontinued and not supposed to be sold in the U.S. I will go as far as to say, if anyone tries to dispense a Philips ASV device, you should reject it, insist on the Resmed and change providers if necessary.

[SarcasticDave94]

Agreed with Sleeprider. Just say no to Philips Respironics machines.

So I wonder how well your suggested PS 0-20 does, asks sarcastic Dave? A great example of practicing physician on you the one called patient. Just don't actually try that PS range, it's not going to go well in my opinion.

Ah cute, using Bi-Flex.

[PandaZA]

I had to sign a waiver saying I was ok with titration as the 4 machines they were using at the sleep center were all recalled machines.

I have already talked with DME and they know that I would like a Aircurve 10 ASV

[SarcasticDave94]

OK that's a good idea.

[Sleeprider]

One more thought on this. That was not a titration, it was a treatment check on ASV. You should not be harassed for optimizing those pressures once you get your own machine. Ask to opt out of any remote setting of your machine settings. I still recommend not using a specialist for ongoing treatment or therapy review, and to convert to your primary doctor as the "treating physician".

[PandaZA]

Hi, I finally received my new aircurve10 ASV machine yesterday and set it up with same settings as my old S9. All went well 

[PandaZA]

SleepRider, I noticed that you mentioned when I get my new machine I should try the settings. Would you still recommend a change the current settings?

Once you get the ASV, you should change the settings to EPAP min 5.0, EPAP max 15.0, PS min 3.0 PS max 15.0. 

[Sleeprider]

I think using the default recommendations by Resmed are the most appropriate way to start. I don't see any advantage to using a different set of starting pressures unless we know you need higher EPAP for controlling obstructive events.  Usually after a night at the defaults, we can see what we can do to narrow the pressure ranges and especially EPAP variation.

[PandaZA]

Sounds good, thanks - I will start on default tonight and will update tomorrow.